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The Ohio Department of Health has issued updated guidance on quarantine protocols for health care providers and local officials dealing with a suspected or confirmed Ebola case. The state said the stronger recommendations build on guidelines from the U.S. Centers for Disease Control and Prevention. The recommendations depend on a potential patient’s level of contact with an infected person:

- Direct physical contact without protective equipment, such as a handshake: Recommended that person be under 21-day quarantine after last contact.

- Proximity within three feet for a prolonged period, such as adjacent passengers in a vehicle: Recommended that person report their temperature twice daily, once by phone and once with a public health official as witness.

- No direct contact but within vicinity as indicated by a health official: Recommended that person self-monitor for any noteworthy health changes.